Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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28 results
Localizing Extraocular Movement Disorders
 β€’ CN Ill (Oculomotor) Nerve Palsy 
 β€’ CN IV (Trochlear) Nerve
palsy β€’ CN VI (Abducens ... One-and-a-half Syndrome ... #Localization #ophthalmology ... #neurology #differential ... #diagnosis #ocular
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
- Differential Diagnosis ... Algorithm Extra-renal ... Normal Acid-Base: Low ... #Differential #Diagnosis ... #nephrology
Hypophosphatemia Diagnostic Algorithm
- GI Losses
- Redistribution
- 1Β° HPT
- 1Β° Renal PO4 wasting: Hereditary, TIO, Fanconi Syndrome,
Hypophosphatemia Diagnostic ... - 1Β° HPT - 1Β° Renal ... , TIO, Fanconi Syndrome ... Hypophosphatemia #phosphorus #low ... #differential #nephrology
Congenital Nystagmus on Physical Exam
These abnormal eye movements were found in a patient with albinism. What
These abnormal eye movements ... Diagnosis: Congenital ... Cooper Neurology ... PhysicalExam #ocular #clinical ... #video #neurology
β–Ί
Adie's Pupil
What? Unknown nature & benign
 β€’ Regular and mildly dilated pupil (4-6mm);
 β€’ Light-near dissociaton;
Holmes-Adie Syndrome ... females Differential Diagnosis ... abnormal extraocular movements ... #PhysicalExam #neurology ... #ophthalmology
Traumatic Lateral Rectus Palsy on Ocular Examination

Impaired left lateral eye movement with left gaze after MVA.
left lateral eye movement ... Rectus #Palsy #Abducens ... #physicalexam #clinical ... #video #neurology ... #ophthalmology
β–Ί
Hypomagnesemia - Differential Diagnosis
Renal Causes of Hypomagnesemia - Familial:
Bartter syndrome and Gitelman syndrome, Isolated recessive hypomagnesemia,
- Differential Diagnosis ... Familial: Bartter syndrome ... and Gitelman syndrome ... #causes #nephrology ... #magnesium #low
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 β€’ Tea and Toast Syndrome, Beer Potomania - Low solute
- Differential Diagnosis ... Tea and Toast Syndrome ... Beer Potomania - Low ... #Differential #Diagnosis ... Algorithm #causes #nephrology
Alice in Wonderland Syndrome
What? Metamorphophsia - Distortions of the visual perceptions with changes in size (micro
in Wonderland Syndrome ... macropsia), color, movement ... parietal lobe β€’ Retina ... Alice #Wonderland #Syndrome ... #diagnosis #neurology
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
- Differential Diagnosis ... FEPO4 β‰₯ 5% - Renal ... β€’ Normal or Low ... - Normal or Low ... Workup #phosphate #nephrology